Kusum Lata, MD in Stockton, CA - Medicare Interventional Cardiology

Kusum Lata, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Stockton, California. She graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Interventional Cardiology. She is a member of the group practice Sutter Valley Medical Foundation and her current practice location is 1801 E March Ln, #a-170, Stockton, California. You can reach out to her office (for appointments etc.) via phone at (209) 951-9885.

Kusum Lata is licensed to practice in California (license number A110487) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1477884161.

Contact Information

	Kusum Lata, MD
	1801 E March Ln, #a-170, Stockton, CA 95210-6629
	(209) 951-9885
	Not Available

Map and Direction

Physician's Profile

Full Name	Kusum Lata
Gender	Female
Speciality	Interventional Cardiology
Experience	19 Years
Location	1801 E March Ln, Stockton, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kusum Lata graduated from medical school in 2005

NPI Data:

NPI Number: 1477884161
Provider Enumeration Date: 01/20/2010
Last Update Date: 09/01/2016

Medicare PECOS Information:

PECOS PAC ID: 8426172396
Enrollment ID: I20100830000176

Medical Identifiers

Medical identifiers for Kusum Lata such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477884161	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	A 110487 (California)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	A110487 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sutter Tracy Community Hospital	Tracy, CA	Hospital
Memorial Medical Center	Modesto, CA	Hospital
Peninsula Medical Center	Burlingame, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sutter Valley Medical Foundation	9830094515	1840

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kusum Lata allows following entities to bill medicare on her behalf.

Entity Name	Sutter Valley Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kusum Lata is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kusum Lata, MD 600 Coffee Rd, Modesto, CA 95355-4201 Ph: (209) 521-6097	Kusum Lata, MD 1801 E March Ln, #a-170, Stockton, CA 95210-6629 Ph: (209) 951-9885

Reviews and Comments

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Dr. Ronald A Kass, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1801 E March Ln Ste C310, Stockton, CA 95210 Phone: 209-465-5731 Fax: 209-465-0230
Issa M. Fakhouri, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2000

Kusum Lata, MD - Medicare Interventional Cardiology in Stockton, CA